Evidence map›Paper›PMID 33674675›Full record

Trial reportScientific reports2021

A randomized controlled trial on the effects induced by robot-assisted and usual-care rehabilitation on upper limb muscle synergies in post-stroke subjects.

T Lencioni, L Fornia, T Bowman, A Marzegan, A Caronni, A Turolla, J Jonsdottir, I Carpinella, M Ferrarin

Registry-linked trialOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03530358 (MOdularity for SEnsory Motor Control), which is not on this map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03530358 naunknown statusnot on this map

MOdularity for SEnsory Motor Control: Implications of Muscle Synergies in Motor Recovery After Stroke

TypeinterventionalSponsorIRCCS San Camillo, Venezia, ItalyRan2014 to 2022Enrolled132ConditionsStroke, Ischemic, Upper Limb Injury, RehabilitationArmsTechnology-aided rehabilitation, Conventional rehabilitation
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 54 citations in OpenAlex.

  1. Pooled it
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  9. Muscle synergies in upper limb stroke rehabilitation: a scoping review.European journal of physical and rehabilitation medicine · 2024
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  13. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 3 institutions in 1 country.

T LencioniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy. tlencioni@dongnocchi.it.
L ForniaDepartment of Medical Biotechnologies and Translational Medicine, Università Degli Studi di Milano, Milan, Italy.
T BowmanIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
A MarzeganIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
A CaronniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
A TurollaMovement Neuroscience Research Group, IRCCS San Camillo Hospital, Venezia, Lido, Italy.
J JonsdottirIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
I CarpinellaIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
M FerrarinIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Don Carlo Gnocchi Foundation · ITIRCCS San Camillo Hospital · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Muscle synergies are hypothesized to reflect connections among motoneurons in the spinal cord activated by central commands and sensory feedback. Robotic rehabilitation of upper limb in post-stroke subjects has shown promising results in terms of improvement of arm function and motor control achieved by reassembling muscle synergies into a set more similar to that of healthy people. However, in stroke survivors the potentially neurophysiological changes induced by robot-mediated learning versus usual care have not yet been investigated. We quantified upper limb motor deficits and the changes induced by rehabilitation in 32 post-stroke subjects through the movement analysis of two virtual untrained tasks of object placing and pronation. The sample analyzed in this study is part of a larger bi-center study and included all subjects who underwent kinematic analysis and were randomized into robot and usual care groups. Post-stroke subjects who followed robotic rehabilitation showed larger improvements in axial-to-proximal muscle synergies with respect to those who underwent usual care. This was associated to a significant improvement of the proximal kinematics. Both treatments had negative effects in muscle synergies controlling the distal district. This study supports the definition of new rehabilitative treatments for improving the neurophysiological recovery after stroke.

Indexed as

AgedBiomechanical PhenomenaFemaleHumansMaleMiddle AgedRecovery of FunctionRoboticsStrokeStroke RehabilitationTreatment OutcomeUpper Extremity

Identifiers

PMID33674675
PMCPMC7935882
OpenAlexW3135427506

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.